Hidden jaw damage after a child's tooth fracture revealed by 3D scans
NCT ID NCT07268443
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked back at records of 67 children to see if a broken front tooth from an injury could lead to hidden changes in the jaw joint. Researchers used special 3D X-rays (CBCT) to measure joint spaces and check for pain. They found that children with tooth fractures had different joint measurements compared to those without fractures, even if they didn't feel pain. The goal was to better understand these hidden changes, not to test a new treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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67 people
The number who actually took part.
- Started
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Jun 2012
- Finished
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May 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Single-center pediatric cohort drawn from dental trauma cases (presenting ≤1 month post-injury) and orthodontic records (Class I, asymptomatic) at a university clinic; retrospective review period 2008-2023. TMJ joint-space metrics via CBCT (Ikeda \& Kawamura method); pain scored on a 4-point ordinal scale; ALADA principles applied; no additional radiation for research.
- Ages
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11 to 16 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Children/adolescents aged 11-16 years. * Cases: History of complicated crown-root fracture due to dental trauma; presentation within 1 month after trauma; documented TMJ pain (palpation and/or movement); CBCT available for TMJ assessment. * Controls: Orthodontic patients (Class I) aged 12-16 years with no TMJ-related complaints; pre-treatment CBCT available. * Availability of standardized clinical records (pain side/intensity; mandibular movement) sufficient for retrospective analysis. * Parental/guardian consent obtained at initial treatment per institutional policy. Exclusion Criteria: * Systemic/rheumatologic or neuromuscular disorders affecting the TMJ (e.g., JIA). * Craniofacial syndromes, prior TMJ surgery, mandibular fractures involving the condyle, or forced/intubation trauma unrelated to dental injury. * Prior or ongoing occlusal splint/orthodontic therapy likely to alter TMJ loading before baseline imaging. * Inadequate/incomplete clinical records or poor-quality CBCT precluding reliable joint-space measurement. * Repeated or multiple traumas where timing cannot be ascertained relative to imaging.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Dicle University Faculty of Dentistry, Diyarbakır, Turkey
Diyarbakır, Sur, +9021280, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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